Organization
CDL PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG WILLIAM ANDERSON PSY.D. (CLINICAL PSYCHOLOGIST)
(715) 497-7230
Entity
Organization
Contact information
Practice address
410 JOHNSON PKWY, HAMMOND, WI 54015-9678
(715) 497-7230
(715) 600-9041
Mailing address
410 JOHNSON PKWY, HAMMOND, WI 54015-9678
(715) 497-7230
(715) 600-9023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3349-57
WI
Other
Enumeration date
02/19/2016
Last updated
09/05/2016
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